Diocese of Central Florida APPLICATION FORM FOR RECEPTION OF A PRIEST Under Canon III.10.2 PLEASE PLACE PHOTO HERE Full Name of Applicant: LAST FIRST MIDDLE Present Address: Mailing Address (if different): Phone Numbers: Home ( ) Business ( ) Email Address: Permanent Home Address (if different from above): Birth date: Gender: Female Male I am an ordained minister in (check one): a church in communion with the See of Canterbury the Old Catholic Church of the Union of Utrecht the Philippine Independent Church the Evangelical Lutheran Church of America REQUEST FROM APPLICANT TO BE RECEIVED AS A PRIEST IN THE EPISCOPAL CHURCH FROM ANOTHER CHURCH IN COMMUNION WITH THE EPISCOPAL CHURCH I hereby request to be received as a Priest in the Episcopal Church. Signature of Applicant Date
Nomination for the Priesthood Diocese of Central Florida Page 2of 10 CHURCH MEMBERSHIP Baptism (Attach evidence of Baptism) I was baptized in: CHURCH AND LOCATION on: by: The Rev. DATE CLERGY PERSON Confirmation (Attach evidence of confirmation) I was confirmed at: CHURCH AND LOCATION on: by The Rt. Rev. DATE BISHOP EDUCATIONAL BACKGROUND I am currently enrolled in an educational institution? No Yes Part time Name of Institution: Graduate of: HIGH SCHOOL CITY, STATE DATE Give the following information on each college or university attended, including present course of study if currently enrolled * NAME YRS. ENROLLED MAJOR DEGREE AVERAGE FROM/TO SUBJECT ATTAINED LETTER GRADE *Include satisfactory evidence that you are a holder of an accredited Baccalaureate Degree, or what you consider as an equivalent. *Arrange for an official transcript(s) to be sent to the Diocesan Office (Attention: Marilyn Lang) by the relevant institutions of higher learning.
Nomination for the Priesthood Diocese of Central Florida Page 3of 10 WORK HISTORY Currently employed by Full time Part time Not employed Please list the positions you have held in your lifetime with the starting and ending date of employment. Position Starting Date Ending Date HOLY ORDERS I served as a priest/ clergy person with diligence and good reputation in Church/Denomination for years. * Are you currently licensed in this (named above) Church/Denomination? No Yes Have you left the ministry of the above named Church/Denomination? No Yes If yes why did you leave this Church/Denomination? I believe that my ordination was in a church/denomination which is is not in the Historic Succession. I have have not been under ecclesiastical discipline. (If you have, give details) *Arrange for ordination credentials to be sent to the Diocesan Office (Attention: Marilyn Lang) from previous church/denomination. FAMILY HISTORY
Nomination for the Priesthood Diocese of Central Florida Page 4of 10 Present marital status: Single Married Divorced Separated Widowed Number of marriages: Never married One Two Three Spouse s Name: Former Spouse: Former Spouse: Are there additional marriages? Length of present marriage: Length of that marriage: Length of that marriage: How many? Have your spouse briefly describe his/her feelings regarding your application to enter the ordained ministry: Please List Children: Date of Birth Sex Living with You Y/N Have you ever been charged, arrested, or convicted for any crimes or misdemeanors? Yes No If yes, please explain (use additional sheets if necessary):
Nomination for the Priesthood Diocese of Central Florida Page 5of 10 SPIRITUAL LIFE Journey in Faith Describe, briefly, your journey in faith. a) What role did the church play in your growing up? b) Describe your conversion experience, if any. c) Do you have a Spiritual Director? d) What is your current spiritual discipline (rule of life)? e) What change(s) has your faith brought about in your life?
Nomination for the Priesthood Diocese of Central Florida Page 6of 10 MINISTRY How have you been active in ministry in the parish, diocese and community? CANONS Will you obey the Constitution and Canons of the Episcopal Church http://www.churchpublishing.org/general_convention/index.cfm?fuseaction=candc and of the Diocese of Central Florida? http://www.cfdiocese.org/ministry/policyhandbk/const/concan.htm Yes No In Diocesan Canon XVI the following declaration is made: All members of the clergy of this Diocese, having subscribed to the Declaration required by Article VIII of the National Constitution, shall be under the obligation to model in their own lives the received teaching of the church that all its members are to abstain from sexual relations outside of Holy Matrimony. All members of the clergy of this Diocese may allow to take place in their cures, officiate at, bless or participate in, only those unions prescribed by Holy Scripture: the wedding of one woman and one man. Said clergy are forbidden to allow to take place in their cures, officiate at, bless or participate in any other unions, as proscribed by Holy Scripture. Do you subscribe to this Canon and will you do all in your power to uphold this standard? Yes No If no please explain:
Nomination for the Priesthood Diocese of Central Florida Page 7of 10 THEOLOGICAL REFLECTION If you are received as a priest you will promise: I solemnly declare that I do believe the Holy Scriptures of the Old and New Testaments to be the Word of God, and to contain all things necessary to salvation. What does this promise mean to you and how do you think it will guide your ministry? In your baptism you promised to accept Jesus Christ as your savior, to trust in his grace and love and to follow and obey him as your Lord. If you are received as a priest you will promise: I do solemnly engage to conform to the doctrine, discipline, and worship of the Episcopal Church. How do you understand these two promises in relationship to one another?
Nomination for the Priesthood Diocese of Central Florida Page 8of 10 In the Service of Baptism and Confirmation the celebrant and people say this exchange There is one Body and one Spirit; There is one hope in God s call to us; One Lord, one Faith, one Baptism; One God and Father of all. How does this help you to understand salvation in Jesus Christ? If you are received as priest you will commit yourself to do your best to pattern your life [and that of your family, or household, or community] in accordance with the teachings of Christ, so that you may be a wholesome example to your people. How does this commitment shape your life and ministry?
Nomination for the Priesthood Diocese of Central Florida Page 9of 10 Explain to an inquiring friend the good news of God in Christ. I seek to be received as a Priest because:
Nomination for the Priesthood Diocese of Central Florida Page 10of 10 STATEMENT OF THE APPLICANT: (Please read carefully before signing.) I hereby promise to submit in all things, to the Discipline of the Episcopal Church without recourse to any other ecclesiastical jurisdiction or foreign civil jurisdiction, and declare that I do believe the Holy Scriptures of the Old and New Testaments to be the Word of God, and to contain all things necessary to salvation; and I do solemnly engage to conform to the Doctrine, Discipline, and Worship of the Episcopal Church. I further declare that all information submitted by me in this Nomination and Application is true to the best of my knowledge. I understand that any significant misstatement in, or omission from, this form may be cause for denial of acceptance for postulancy or cause for dismissal from this process or the ministry. I understand and agree that I will notify the Commission on Ministry of any changes in the status of my licensure, censure, or sanction by professional bodies and of any other information relating to my ability to act as a member of the ordained clergy. Name (please print) Signature Date Diocese of Central Florida October 2010